Gliederung

Introduction: When closed trauma of the abdomen happens, colon is hurt in less tan 5 %.

Materials and methods:

Comments: Male 17 years old, he was kicked 20 hours ago at the toraco-abdominal region. No other trauma. Hemodynamic stability.

Computer tomography: Circumferential hematoma of the right colon. Free abdominal liquid. Flushing from the hematoma. Spleen and liver: no lesions.

Results: Colonic mucosa without lesion. Big hematoma that occupied the hole circumference of the right colon. Right colectomy, with ileo colic suture.

Conclusion: Although these lesions are not frequent, we should always suspect them when there is a closed abdominal trauma, if not we could have misdiagnosis and obstructive or skeptical complications could appear.